Evaluation of Elbow Pain in Adults - AAFP Home.
About Dr. O'Driscoll. Dr. O'Driscoll is an orthopedic surgeon and a sports medicine specialist at Mayo Clinic in Rochester, Minnesota, whose clinical practice is focused exclusively on elbow and shoulder surgery. He is also a professor of orthopedics at the Mayo Clinic College of Medicine and Science.
O'Driscoll and Morrey classified fractures about the elbow associated with a elbow prosthesis. The authors are from the Mayo Clinic.
Baseball Sports Medicine: Game Changing Concepts Physical.
O’Driscoll et al introduced a more comprehensive classification system that emphasizes the importance of the anteromedial facet and that has been widely adopted by the orthopedic community (5,46). In the O’Driscoll system, coronoid process fractures are classified into three main types, each of which comprises several more specific subtypes ( Fig 10 ).Marinelli A, Rotini R, Guerra E, O’Driscoll S. The S.T.I.F classification: a new classification for elbow stiffness, considering Stiffness Types and Influencing Factors. Presented at the Rizzoli Elbow Course, Bologna, Italy; 2017. Google Scholar.O’Driscoll postulated that the instability was due to a fall onto the outstretched hand where the elbow becomes loaded with an axial, valgus and supination force. The circle of Horii describes a pattern of soft tissue injury, which is analogous to the Mayfield perilunate instability of the wrist.
Reconstruction of the lateral ulnar collateral ligament of the elbow is the primary treatment for recurrent symptomatic posterolateral rotatory instability. Although a number of lateral ulnar collateral ligament reconstruction techniques have been described, the docking technique has received general acceptance. In this technique, the graft is passed through a tunnel on the ulnar side and the.The elbow is a complex joint whose stability is imparted by osseous and soft-tissue constraints. Anatomical and biomechanical knowledge of the supporting structures that provide stability to the medial and lateral elbow is essential to correctly interpret the pathological findings. Conventional MRI and MR arthrography are the imaging modalities of choice in the evaluation of elbow ligament.
Classification Elbow dislocations are generally described according to the position of the radius and ulna in relation to the humerus after injury. Based on this, they are classified into five types: Posterior (most common) Anterior Medial Lateral Diverg.
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Following the classification of O'Driscoll (12), cubital tunnel anatomy depends on the type of the cubital tunnel retinaculum. In a normal joint (type Ia and Ib), the roof is (9, 10, 17).
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Biomechanics of Elbow Instability O’Driscoll and colleagues described a mechanism for elbow subluxation and dislocation, in which increasing ligamen-tous and capsular damage progressed from lateral to medial across the joint (Fig. 3).7 In stage 1, the LUCL is disrupted, resulting in posterolateral rotatory subluxation of the elbow.
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Shawn O'Driscoll giving a talk about lateral elbow pain and the importance of the physical examination at the annual DVSE congress 2018 in Regensburg.
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Because of the relatively low incidence of involvement efforts to enhance the diagnosis and management of elbow pathology are not common. Nonetheless, because of a rapidly expanding knowledge base,both with regard to a more - fined understanding of elbow pathology, coupled with exciting and emerging approaches and options for management, it is appropriate and timely to - dress this deficiency.
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SW O'Driscoll, RJ Spinner, MD McKee, et al.Tardy posterolateral rotatory instability of the elbow due to cubitus varus J Bone Joint Surg Am, 83A (9) (2001), pp. 1358-1369 Google Scholar.
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A comprehensive history and physical examination of the elbow and surrounding joints is the most important part of the evaluation of elbow disorders. The examiner can use further diagnostic studies, such as radiographs and magnetic resonance imaging (if necessary), to confirm the diagnosis or further narrow the scope of potential diagnoses.
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The aim of the study was to explore the clinical outcome of posterolateral and anteromedial approaches in treatment of terrible triad of the elbow. The study involved 12 patients with closed terrible triad of the elbow treated by posterolateral and anteromedial approaches between January 2010 and June 2012. The mechanism of injury included fall from height in 9 patients and traffic accident in 3.
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Anatomy of the Elbow.. O’Driscoll et al. has proposed a new variation to the classic fracture classification of Regan and Morrey attributing more significance to anteromedial facet involvement owing to the facet’s significant stabilizing function.
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Evaluation of Elbow Pain in Adults SHAWN F. KANE, MD; JAMES H. LYNCH, MD, MS; and JONATHAN C. TAYLOR, MD Womack Army Medical Center, Fort Bragg, North Carolina.
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